Improving the quality of medical care is one of the priority objectives of the state policy, for the solution of which the resources of the national project «Healthcare» and its constituent federal projects are used. Purpose of the study is the development of high-cost, resource-intensive and socially significant healthcare industry, such as the Hematology service. The aim of this study was to assess the organization and state of the Hematology service in the Central Federal District (CFD) of Russia – the leader both in terms of population and in terms of the number of subjects included in it – which is necessary to develop organizational and methodological measures aimed at its improvement. Materials and methods. Official statistical data and analytical materials of Federal State Statistics Service, the Cancer Registry, open sources of information, data from check-out work of the National Medical Research Center for Hematology in СFD. Statistical data analyzed with the Excel‑2007 package. The main research methods: study and generalization of the available information, informationanalytical, statistical, bibliographic. Results. The analysis of the performance indicators of Hematology in the CFD identified its main components, taken together of which it is possible to assess the quality of the organization of the provision of specialized medical care with subsequent rating, and made it possible to identify key points for further improvement of the hematological service. Conclusions. The results of the study indicate the need for constant monitoring of the main indicators of the Hematology service (staffing, bed fund, availability of specialized high-tech research methods for the blood system diseases), taking into account certain directions and the course of the state policy pursued in this direction.
Introduction. The hematology service registration system describes actual indicators of hematology service infrastructure and target objects of both assigned and affiliated organizations of Russian Federation regions along with its correlations. This system data base makes it possible to collect, save, and analyze information, creating a data storage library about all current existing resources and taking into account concrete, specific conditions of specialized and high-tech hematological medical assistance organizations at the local levels and formed quality and availability optimization proposals.Aim — description and justification of the need to create a unified, complex, available to all users, informational reference system with the possibility of up-to-date maintenance and accounting that allows for the keep and control of the regional characteristics and hematology service indicators of the Russian Federation.General findings. The creation of and development of the hematology service registration system began in 2018, and work on the project continues. Four main phases were selected as the key stages of the hematology service pasportisation: analyses of the current data, verification of information, creation of a user-friendly tool, system updating. Objects to monitor: medical key and related institutions, universities, affiliated organizations, laboratory service. The data working stages: data collection, manual updating, package uploading. The information sources: official websites, data high-tech medical treatment web portal, web portals of the public health authorities, Compulsory Medical Insurance Fund website, The Unified Data Health Care System, license register of the Federal Service for Healthcare Surveillance, data of the Federal State Statistics Service, official documents of Ministry of Public Health. Based on the developed checklists and forms for entering additional information for specialists of the subjects of the Russian Federation, a reference book of the Ministry of Defense (Excel file format) was created. However, in the course of further remote interaction and conducting field events in the regions of the Russian Federation during 2019–2020 new data needs for evaluating hematology services were determined. The increase of additional data inputs and its structure complication became the main reasons for further developing a new platform design concept and data conversion in database framework of the hematology service registration system (Access file format). The current objectives are as follows: authentication of the internal objects identifiers, implementation of the relational database codifier, modification of cartographic display and objects routing. The hematology service registration system contains data both for the key infrastructure nodes of Russian Federation hematology service and correlations within routing of all key system objects. Based on the positive results, the hematology service registration system is planned to be used by experts of specialized medical organizations, regional executive authorities on public health and professional communities, who will be able to accumulate all changes and indicators in dynamics within one system. The expected result is to provide the Ministry of Defense of the Russian Federation regions with methodological and informational support in specialized and high-tech medical care administration.
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